NRNP 6635 Week 4 Assessing and Diagnosing Patients With

Walden University NRNP 6635 Week 4 Assessing and Diagnosing Patients With Anxiety Disorders, PTSD, and OCD-Step-By-Step Guide

This guide will demonstrate how to complete the Walden University NRNP 6635 Week 4 Assessing and Diagnosing Patients With Anxiety Disorders, PTSD, and OCD assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NRNP 6635 Week 4 Assessing and Diagnosing Patients With Anxiety Disorders, PTSD, and OCD

Whether one passes or fails an academic assignment such as the Walden University NRNP 6635 Week 4 Assessing and Diagnosing Patients With Anxiety Disorders, PTSD, and OCD depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NRNP 6635 Week 4 Assessing and Diagnosing Patients With Anxiety Disorders, PTSD, and OCD

The introduction for the Walden University NRNP 6635 Week 4 Assessing and Diagnosing Patients With Anxiety Disorders, PTSD, and OCD is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

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How to Write the Body for NRNP 6635 Week 4 Assessing and Diagnosing Patients With Anxiety Disorders, PTSD, and OCD

After the introduction, move into the main part of the NRNP 6635 Week 4 Assessing and Diagnosing Patients With Anxiety Disorders, PTSD, and OCD assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NRNP 6635 Week 4 Assessing and Diagnosing Patients With Anxiety Disorders, PTSD, and OCD

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NRNP 6635 Week 4 Assessing and Diagnosing Patients With Anxiety Disorders, PTSD, and OCD

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NRNP 6635 Week 4 Assessing and Diagnosing Patients With Anxiety Disorders, PTSD, and OCD

This soap note is about a Sergeant who is 27 years old, joined the military right after high school, and has served in battle zones. Having served in the military for eight years, he is now engaged. The paper looks at differentiating between possible illnesses and evaluating a patient’s mental state, focusing on the critical thinking skills needed. The paper thoroughly examines the patient’s symptoms, DSM-5 criteria, and potential ways to improve things. The paper also discusses ethics issues and looks at possible future meetings.

Subjective:

CC (chief complaint): “My fiancé suggested, well, demanded that I make an appointment.”

HPI: B.S., a 27-year-old white man, asked to see a psychiatrist because he was having anxiety problems after a stressful event at the county fair with his sister and her husband. Heavy fireworks in the sky stopped the show, but B.S. did not know about them. He ran because he feared the police were trying to catch him. He loudly announced that he was a war veteran, and his friends quickly left because they thought the noise of the fireworks sounded like the shooting he had heard in battle. The blasts took B.S. back in time and made him think of his time in the service. The person has never been to treatment for mental health or drug abuse before, and they want to get married and start a family. The patient keeps thinking about what happened, causing dreams, over-the-top startle reactions, and feeling trapped between two cars. He talks about terrible things that happened to him in the military, and any bad sound or smell can make him sick and tense up his stomach muscles.

Past Psychiatric History:

General Statement: For twelve months, the person has not gotten help for his mental health problems.
Caregivers (if applicable): His fiancé.
Hospitalizations: He has never been hospitalized before.
Medication trials: He says he has not taken any medicine for his mental illness.
Psychotherapy or Previous Psychiatric Diagnosis: he says he has never been diagnosed or treated for mental health issues

Substance Current Use and History: The patient denied using smoke or illicit substances. The father battled drinking and showed indications of neglect.

Family Psychiatric/Substance Use History: When he was drunk, his father behaved harshly. Despite having cirrhosis, Type 2 diabetes, hypertension, and alcoholism, the father continues to be alive but in poor condition. His paternal grandfather had periods of depression while in the armed forces.

Psychosocial History: Due to his fiancée’s job opportunity, the patient and she relocated, and they are now five hours away from their family. He has a younger brother and an older sister. After graduating from high school, he will pursue an online accounting degree. He likes to read and watch television as hobbies. Nevertheless, he avoids music as it might make others uneasy. He had just served eight years in the Marines, three of which were lengthy deployments into war zones.

Medical History:

Current Medications: The patient manages his asthma with medicine.
Allergies: There is no documented allergy to food or drugs. Confirms that seasonal allergies occur.

Reproductive Hx: sexually active with aspirations to be married in the next two years.

ROS:

GENERAL: The patient does not complain of a fever, changes in weight, fatigue, or physical weakness.
HEENT: No discomfort, altered hair growth patterns, or altered internal structures. The auricular region has no tinnitus, exudate, itching, soreness, or auditory deficiencies. Eyes: No need for glasses, blurry vision, or tears. Nose: No history of previous epistaxis or sinus discomfort or congestion. Mouth and Throat: No dysphagia, bleeding gums, throat discomfort, or dental pain.
SKIN: Free of eczema, rashes, itching, or hives.
CARDIOVASCULAR: denies chest tightness, palpitations, or cyanosis.
RESPIRATORY: denies sneezing, wheezing, coughing, or dyspnea.
GASTROINTESTINAL: denies reflux, changed bowel motions, and hernias. There have been reports of stomach strains and nausea.
GENITOURINARY: denies any variances in the frequency of urine, burning while urination, dysuria, and nocturia.
NEUROLOGICAL: Denies headache, vertigo, lightheadedness, and impaired eyesight.
MUSCULOSKELETAL: denies pain or stiffness in their muscles and joints.
HAEMATOLOGIC: denies having ever had anemia, bleeding, or ecchymosis that took too long to heal.
LYMPHATICS: Lymphadenopathy is denied
ENDOCRINOLOGIC: denies experiencing excessive thirst, polydipsia, polyuria, or hair changes.

Objective:

Physical exam:

Vital signs: T: 98.8°F, P: 86 bpm, R: 18 bpm. BP: 122/70 mmHg. Ht: 5’8. Weight: 160 pounds

Diagnostic results: There were no requests for blood tests.

Assessment:

Mental Status Examination: The patient is a male young adult who is focused, presentable, and enthusiastic during the interview. However, he sometimes exhibits defensiveness and anxiousness even though he seems to be calm and friendly. His communication is clear and logical, even though it may sometimes be somewhat emotional. In addition to expressing anxiety about flashbacks from his time in the military, he acknowledges the need for coping mechanisms. There was no evidence of any motor deficiencies, and he had well-developed judgment and understanding. In addition to denying having any auditory or visual hallucinations, he also claims that he has not had any suicidal or homicidal impulses.

Differential Diagnoses:

Posttraumatic Stress Disorder (PTSD): The four types of symptoms that make up PTSD, according to the DSM-5-TR, are as follows: duration, arousal and reactivity, avoidance, negative mood changes, and intrusive symptoms (Blais et al., 2021). The condition may be precipitated by exposure to a traumatic incident, seeing it, learning about it, or indirect exposure. Symptoms of intrusion include persistent thoughts, nightmares, dissociative episodes, significant psychological discomfort, and dramatic physiological responses (Hunt et al., 2022). The principal diagnosis is PTSD, marked by nightmares, nervousness, and terror, indicative of recurrent exposure to traumatic events.
Panic Disorder: As per the DSM-V, Panic disorder is a syndrome marked by persistent, unforeseen panic episodes, often occurring without warning and accompanied by physiological symptoms. These attacks may manifest concurrently with various anxiety, mood, psychotic, drug use, and medical issues. They may exacerbate symptom intensity, induce suicidal thoughts, and diminish therapy efficacy in people with concurrent anxiety and mental illnesses. Precise diagnosis requires a comprehensive comprehension of panic episodes (Barrett et al., 2020). The patient said he was sweating a lot and felt stuck in traffic.
Agoraphobia: The DSM-5 delineates the diagnostic criteria for agoraphobia, necessitating profound dread when confronted with or expecting at least two of five scenarios: public transit, open spaces, confined places, crowds, or being alone at home (Gros et al., 2023). The dread must be disproportionate to the actual stimuli and accompanied by behavioral or cognitive alterations. Symptoms must persist for a minimum of six months, induce considerable distress, and cannot be well accounted for by an alternative mental diagnosis, medical condition, or drug use or withdrawal scenario.

Reflections: Should I have the chance to see this patient again, I would focus on a thorough review of his coping strategies and support network, as well as any regrets he may have about his anxiety. I would stress how important it is to remain anonymous and look into any possible thoughts of hurting oneself or others while taking into account his events. At the same time, active work can make people feel many emotions, such as regret. It is essential to understand how these feelings are affecting his health, especially since stressful events can cause PTSD and have many physical effects (Neilson et al., 2020). I would focus on finding new ways to guide his treatment and help him better take care of his health. To improve the process, I would use an orderly, trauma-informed approach that includes client-centered involvement, informed consent, cultural competence, and explicit professional boundaries (Benedict et al., 2020). I would teach him about support networks for people with PTSD and how to deal with stress. I would tailor my methods to his specific background and situation and ensure we met regularly to check on his progress and make any necessary changes to the treatment plans.

Conclusion

The patient went to see a psychiatrist because he was having anxiety issues after a bad experience at a fair and a flashback to his time in the military. He has never been to care for mental illness or drug abuse before, and he wants to get married and have kids. In his family background, there is a drunken father and a depressed grandpa. An orderly, trauma-informed strategy, psychoeducation, support networks, and ways to deal with stress should all be part of treatment.

References

Barrett, A. J., Taylor, S. L., Kopak, A. M., & Hoffmann, N. G. (2020). PTSD, panic disorder, and alcohol use disorder as a triple threat for violence among male jail detainees. Journal of Criminal Psychology, 11(1), 21–29. https://doi.org/10.1108/jcp-07-2020-0029

Benedict, T. M., Keenan, P. G., Nitz, A. J., & Moeller-Bertram, T. (2020). Post-traumatic stress disorder symptoms contribute to worse pain and health outcomes in veterans with PTSD compared to those without. A Systematic Review with Meta-Analysis. Military Medicine, 185(9–10), e1481–e1491. https://doi.org/10.1093/milmed/usaa052

Blais, R. K., Tirone, V., Orlowska, D., Lofgreen, A., Klassen, B., Held, P., Stevens, N., & Zalta, A. K. (2021). Self-reported PTSD symptoms and social support in U.S. military service members and veterans: a meta-analysis. European Journal of Psychotraumatology, 12(1). https://doi.org/10.1080/20008198.2020.1851078

Gros, D. F., Pavlacic, J. M., Wray, J. M., & Szafranski, D. D. (2023). Investigating Relations Between the Symptoms of Panic, Agoraphobia, and Suicidal Ideation: The Significance of Comorbid Depressive Symptoms in Veterans with Panic Disorder. Journal of Psychopathology and Behavioral Assessment, 45(4), 1154–1162. https://doi.org/10.1007/s10862-023-10082-4

Hunt, C., Krauss, A., Hiatt, E., & Teng, E. J. (2022). Predictors of symptom reduction following intensive weekend treatment for panic disorder: An exploratory study of veterans. Journal of Affective Disorders, 308, 298–304. https://doi.org/10.1016/j.jad.2022.04.053

Neilson, E. C., Singh, R. S., Harper, K. L., & Teng, E. J. (2020). Traditional masculinity ideology, posttraumatic stress disorder (PTSD) symptom severity, and treatment in service members and veterans: A systematic review. Psychology of Men & Masculinity, 21(4), 578–592. https://doi.org/10.1037/men0000257